1. Name
First Name
Last Name
2. City
3. Gender
4. Preferred Email Address
5. Cell Phone #
(###)
###
####
6. Secondary Phone # (if available)
(###)
###
####
7. Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
8. Current (or most recent) Employer, Your Title, & Address
9. Administrative Assistant Information (if applicable)
(Name, Phone Number, Email)
10. High School Name, City, State, School Mascot
11. Organized Sport(s) Played in High School or College
Note, it is not a requirement to have played high school or college sports. Feel free to list any other activities with which you were involved.
12. Undergraduate & Post Graduate School(s) & Degree(s)
13. Birthday
(optional)
MM
DD
YYYY
14. How or from whom did you hear about the Handshake America Program?
15. What does success look like to you?
16. In what ways do you bring the best out in someone?
17. What experience do you have mentoring or coaching the youth?
18. Please provide two references that can attest to questions #16 & #17.
Provide name, email, and phone number.
19. Please provide any requests you would like considered when being matched with your team of Handshake America Student-Athletes (i.e area of town, plays your sport, specific school, etc.)
NOTE: Each team consists of six student-athletes (males and females) and three coaches (males and females). We'll do our best to accommodate your requests and please understand there are no guarantees.
I will uphold the mission to create life-coaching relationships with gritty student-athletes to help them realize their potential for success and inspire them to influence others.
I subscribe to the vision of a national community of 5P Leaders* influencing a culture and uniting the people around them. *5P Leaders are those who regularly practice and represent the values of Perseverance, Passion, Positivity, People, and Presence.
I commit to at least one year with the Program and commit my best to attend all eight sessions throughout the year (missing no more than one and making up any sessions missed due to emergencies).
I commit to donating or raising at least $1,000 for HA by National Handshake Day which is the 4th Thursday of June
*
I will adhere to the Handshake America Coach Code of Conduct.
Handshake Coach Code of Conduct PDF can be found on the website at: https://www.handshakeamerica.org/coaches
I will commit my best to attend the Coaches Clinic (FEB) and the National Handshake Day event (JUN).
I will stay in regular communication with the student-athletes and other coaches on my team (approximately once per month) and will make my best effort to attend at least one of their athletic events.
I will actively look for coachable moments with my team.
I will self-educate on coaching people for success and evaluate myself on a continuing basis.
I will be a good teammate; be responsive to communication from HA or local chapter teammates.
I acknowledge a background check will be requested of me (free of charge) and I will comply with providing the necessary information.
21. Please provide any other comments, questions, requests, or feedback.
Thank you for your interest in being a Handshake America Coach!
One of our regional team leaders will be in touch within the next couple weeks to discuss next steps.
Should you have any additional questions please contact Jared Weston at jaredweston@handshakeamerica.org.
